HomeMy WebLinkAbout06-05-2018 Minutes City of Auburn Law Enforcement O�cers and Firefighters Disability Board
Tuesday, June 5, 20'i8 - 10:00 ANi —Conference Room 2
MINUTES
I. CALL TO 092DER
Chair Jim Kelly called the mee#ing to order at 10:00 a.m. in Conferenee Room 2
located on the second floor of Auburn City Hall, 25 West Main Street in Auburn.
Members present included Chair Jim Kelly, Chair Pro Tem Bill Petersen,
Member Bob Baggett, and Member-at-large Stan Laatsch. Also present were
Board Attorney Doug Ruth and Board Secretary Danielle Daskam.
II. AGEIVDA iwODIFICATIOIVS
There was no change to the agenda.
III. APPROVAL OF MIIdUTES
A. Minutes of the May 1, 2018 LEOFF Board Meetinq
Motion by Chair Pro Tem Petersen, second by Member Laatsch to
approve the minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 4-0
IV. UNFINISHED BUSINESS
A. Pending Disabilitv Leave/Retirement Applications
There was no pend'ing disability leave%retirement application.
B. Pending Medical/HearingNision/Dental Claims
1. LEOFF 1 Member#398982
Request for reimbursement of inedical expenses in the total
amount of$86.43 for services received in 2017.
On March 6, April 3 and May 1, 2018, the Board tabled the claim
pending the receipt of the Medicare/insurance explanation of
benefits statement. No new information was received.
Motion by Chair Pro Tem Petersen, second by IVlember Baggett to
deny the claim due to lack of information.
MOTION CARRIED UNANIMOUSLY. 4-0
LEOFF Board Minutes
June 5, 2018
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 5, 2018 - 10:00 AM —Conference Room 2
2. LEOFF 1 Member#490024
Request for reimbursement of inedical expenses in the amount of
$56.59 for services received in November 2017.
On March 6, April 3 and May 1, 2018, the Board tabled the claim
pending the receipt of the Medicare/insurance explanation of
benefits statement. No new information was received.
Motion by Chair Pro Tem Petersen, second by Member Baggett to
deny the claim due to lack of information.
MOTION CARRIED UNANIMOUSLY. 4-0
V. NEW BUSINESS
A. Disability Leave/Retirement Applications
No new application for disability leave was received, and there are no
LEOFF 1 active members.
B. Appeals/Requests for Reconsideration
IVo request for reconsideration was received.
C. Medical/HearinaNision/Dental Claims
1. LEOFF 1 Member#856535
Request for reimbursement medical expenses in the amount of
$54.20 for services received on Ocfober 11, 2017. (This is re-
submission of a claim previously denied due to lack of
Medicare/insurance explanation of benefits statement.)
Motion by Chair Pro Tem Petersen, second by Member Baggett to
approve fhe claim in the amount of$54.20.
MOTION CARRIED UNANIMOUSLY. 4-0
2. LEOFF 1 Member#406822
Request for reimbursement of dental expenses in the amount of
$314.10 for services received on May 23, 2018. The LEOFF 1
member has not received dental reimbursement in 2018.
, Motion by Member Baggett, second by Chair Pro Tem Petersen to
approve fhe claim in the amount of$314.10.
LEOFF Board Minutes
June 5, 2018
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 5, 2018 - 10:00 AM — Conference Room 2
MOTION CARRIED UNANIIVIOUSLY. 4-0
3. LEOFF 1 Membec#64287_3
- -
Request for reimbursement of dental expenses in the amount of
$214.00 for services received on May 7, 2018. The LEOFF 1
member has not received dental expense reimbursement in 2018.
Motion by Chair Pro Tem Petersen, second by Member Baggett to
approve the claim in the amount of$214.00.
MOTIDN CARRIED UNANIMOUSLY. 4-0
4, LEOFF 1 Member#490024
Request for reimbursement of dental expenses in the amount of
$1,500.00 for services received on May 9, 2018. The LEOFF
member has not received dental expense reimbursement in 2018.
Motion by Chair Pro Tem Petersen, second by Member Baggett to
approve reimbursement in the amount of $1,200.00, which
represents the annual maximum reimbursement level.
MOTION GARRIED UNANIMOUSLY. 4-0
5. LEOFF 1 Member#321061
Request for reimbursement of vision expenses in the amount of
$78.00 for services received on April 30, 2018. The LEOFF
member received $270 in vision reimbursement on Decembe� 5,
2017.
Motion by Chair Pro Tem Petersen, second by Member Laatsch to
deny the claim as the member has already received the maximum
reimbursement level for the past twelve months.
MOTION CARRIED UNANIMOUSLY. 4-0
6. LEOFF 1 Member#779147
Request for reimbursement of dental expenses in the amount of
$304.95 for services received on May 3, 2018. The LEOFF
member has not received dental expense reimbursement in 2018.
Motion by Member Baggett, second by Chair Pro Tem Petersen to
approve the claim in the amount of$304.95.
MOTION CARRIED UNANIMOUSLY. 4-0
LEOFF Board Minutes
June 5, 2018
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 5, 2018 - 'i0:00 AM — Conference Room 2
7. LEOFF 1 Member#629199
Request for reimbursemenfi of dental expenses in the amount of
$226.00 for services received on May 2, 2018. The LEOFF 1
member's dental expenses have previously been determined to be
medically necessary.
Motion by Chair Pro Tem Petersen, second by Member Baggett to
approve the claim in the amount of$226.00
MOTION CARRIED UNANIMOUSLY. 4-0
D. Other Discussion
1. LEOFF Board Policies and Proced.ur.es
Board Attorney Ruth presented and reviewed a resolution to effect
policy amendments. The proposed amendments were discussed
at the last LEOFF Board meeting.
Attorney Ruth explained he added a provision regarding dental
implants included with the provisions regarding dentures. He noted
the Board has the discretion to inelude reimbursement of implant
expenditures in the policies and procedures if the procedure is
medically necessary.
The Board discussed costs of implants, a requirement for pre-
approval, and medical necessity.
Attorney Ruth proposed the following language for a new
paragraph 5 under Policy 8.02(D): Dental implants may be
approved; however, prior authorization by the Board is required.
To receive pre-authorization for an implant, the Board first must be
provided with a letter from fhe member's treating dentist or
physician stating the reason the implant is medically necessary.
Chair Pro Tem Petersen moved and Member Baggett seconded to
approve Resolution IVo. 2018-01, with the added language
regarding dental implants and changing vision benefits to reflect
calculation of#he benefit on a calendar year rather than on a rolling
12-month period under Policy 9:02(C).
MOTION CARRIED. 4-0
LEOFF Board Minutes
June 5, 2018
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 5, 2018 - 10:00 AM — Conference Room 2
Chair Kelly inquired regarding the claims process and potential for
using electronic signatures for claims. He noted the LEOFF claim
form provides for the signature of the LEOFF Fire or Police
representative as proof of their review. Chair Kelly recommended
removing the Board representative signature from the claim form if
it is not required.
VI. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:36 a.m.
APPROVED this 3rd day of July, 2018.
�.��
IM KELLY, C R Board Secretary
LEOFF Boa�d Minutes
June 5, 2018
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